UNIVERSITY OF SOUTHERN MINDANAO

Kabacan, Cotabato
Philippines

REGISTRATION FOR CAMPUS ORGANIZATIONS

JUNIOR PHILIPPINE INSTITUTE OF ACCOUNTANTS

(Name of Organization)
(SY 2018- 2019)

MEMBERSHIP FORM

Name : Kate Iannel C. Vicente_________________________________________________________________________________

Birthday : January 21, 2002__________________________ Age: 19________________________________
Yr /Cr/Sec/Maj/Conc: 2-BSAccy-B________________________________________________________________________________
Cell/Contact Number: 09367826272______________________________________________________________________________
Home Address: Purok Mainuswagon, Barangay Kapingkong, Lambayong, Sultan Kudarat____________________________________
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Residence/ Boarding House Address in Kabacan:
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Membership & Position in other Campus Organizations:

Name of Organization Position
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Skills / Talents:
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__ KATE IANNEL C. VICENTE______

(Signature over printed name)

____August 28,2021____
USM-OSA-F06
 UNIVERSITY OF SOUTHERN MINDANAO
Kabacan, Cotabato
Philippines

REGISTRATION FOR CAMPUS ORGANIZATIONS

Date

USM-OSA-F06